November Camps Registration Form

Student Registration Form

Fill out the form carefully for registration
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Parents Name

First NameLast Name
Parent E-mail
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Camp
Additional Comments
Please submit full payment.

Zelle to info@imagineartsmiami.com - Aurora Arts LLC / DBA Imagine Arts Academy of Miami
Should be Empty:

Student Registration Form